NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-2169179)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-10
- IRS object ID
- 201513149349303406
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-10T15:43:32-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362169179 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PALO | BusinessNameControlTxt |
| Phone | 7089234000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604630930 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dr Terrence Moisan | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7089234000 | PhoneNum |
| Signature | 2015-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Wayne Harder | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dr Terrence Moisan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604630930 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,219,753,748 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.paloscommunityhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Palos Community Hospital is a 501(c)(3) community hospital whose primary objective is the provision of inpatient and outpatient services that are responsive to the health care needs of the residents of southwestern Cook County and northeastern sections of Will County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 3121 | TotalEmployeeCnt |
| Total Volunteers | 815 | TotalVolunteersCnt |
| Total Gross UBI | $76,913 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$23,519 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $762,789 | PYContributionsGrantsAmt |
| CY Contributions Grants | $750,923 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $332,023,935 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $354,038,951 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,695,484 | PYInvestmentIncomeAmt |
| CY Investment Income | $30,031,252 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,877,781 | PYOtherRevenueAmt |
| CY Other Revenue | $8,013,703 | CYOtherRevenueAmt |
| PY Total Revenue | $368,359,989 | PYTotalRevenueAmt |
| CY Total Revenue | $392,834,829 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $211,780,822 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $197,457,271 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $148,308,256 | PYOtherExpensesAmt |
| CY Other Expenses | $156,213,497 | CYOtherExpensesAmt |
| PY Total Expenses | $360,089,078 | PYTotalExpensesAmt |
| CY Total Expenses | $353,670,768 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,270,911 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $39,164,061 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $830,546,184 | TotalAssetsBOYAmt |
| Total Assets EOY | $875,786,472 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $507,358,445 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $517,581,046 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $323,187,739 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $358,205,426 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Palos Community Hospital (PCH) is a not-for-profit community hospital, which is operated in accordance with the Ethical and Religious Directives for Catholic Healthcare Facilities. The primary objective of PCH is the provision of inpatient and outpatient services that are responsive to the health care needs of the residents of southwestern Cook County and northeastern sections of Will County.In providing any service - be it preventive, curative or palliative - the overriding concern of the institution shall be that the quality of that service be of the highest caliber. PCH shall be committed to a continued review and analysis of the changing needs of the community it serves and shall respond to those needs with services that are readily available in a form that enhances their efficient use by physicians and patients. In addition, PCH shall maintain an ability to adapt to changes and influence forces in its environment effectively and expeditiously. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $219,781,025 | ExpenseAmt |
| Revenue | $309,684,789 | RevenueAmt |
| Desc | It is the policy of Palos Community Hospital to provide quality medical health care to all persons regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The Hospital recognizes that not all individuals possess the ability or means to purchase essential medical services and further, that our mission is to serve our community with respect to providing healthcare services and healthcare education. Therefore, in keeping with the hospital's commitment to serve all members of the community, charity and/or subsidized care will be considered where the need and/or inability to pay are identified. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $38,053,139 | ExpenseAmt |
| Revenue | $26,534,945 | RevenueAmt |
| Desc | Palos Community Hospital provides a total continuum of cardiovascular services - from diagnosis and treatment through recovery and rehabilitation - to ensure that our patients receive the complete care they need close to home. Prior to the start of the program in 2005, Palos transferred patients from their local community to other hospitals. Within 3 years, Palos ranked 14th in Illinois for heart volume. This community need has grown as can be seen with continued increases in volume since the program began. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,671,561 | ExpenseAmt |
| Revenue | $19,935,001 | RevenueAmt |
| Desc | Palos Community Hospital Home Health, Private Duty, and Hospice services provide quality personal care and support to patients in their homes, nursing homes or hospitals. The Home Health staff assists the chronically ill, persons with functional impairments, those needing specialized skilled care at home, those recovering from a hospital stay and the terminally ill. In 2014, Home Health staff from Palos made over 97,000 home care visits, more than 27,000 hospice visits and provided almost 42,000 hours of private duty nursing assistance. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,370,868 | ExpenseAmt |
| Revenue | $4,530,441 | RevenueAmt |
| Desc | Behavioral Health | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,370,868 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $4,530,441 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $287,876,593 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 211 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3121 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Roger Russell | PersonNm |
| Phone | 7089234000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604630930 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Edward Mulcahy | |||||||||
| Chairman | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Gordon B Nash Jr | |||||||||
| Vice Chair | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Lawrence Hunt | |||||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Lucie Boyadjian | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Terrence Moisan | |||||||||
| Director/CEO | 40.00 | 11.00 | Yes (X) | Yes (X) | $719,992 | $0 | $0 | ||
| Dr Charles Polcaster | |||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Philip A Salvador | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Mark Sinibaldi | |||||||||
| Director/Physician | 2.00 | 40.00 | Yes (X) | $50,000 | $267,547 | $30,053 | |||
| Dr Michael Sobczak | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jack Vainauskas | |||||||||
| Director | 2.00 | 1.00 | Yes (X) | $57,812 | $0 | $0 | |||
| Charles E Reiter III | |||||||||
| Contracted General Counsel/Assistant Secretary | 40.00 | 10.00 | Yes (X) | $385,490 | $0 | $0 | |||
| David B Manchester | |||||||||
| VP Professional Services | 40.00 | Yes (X) | $412,488 | $0 | $41,938 | ||||
| Hugh A Rose | |||||||||
| VP Finance/CFO | 40.00 | 11.00 | Yes (X) | $400,367 | $0 | $25,372 | |||
| Randall J Oles | |||||||||
| VP Support Services | 40.00 | Yes (X) | $323,798 | $0 | $46,623 | ||||
| Timothy J Brosnan | |||||||||
| VP Planning/Community Relations | 40.00 | 2.00 | Yes (X) | $340,935 | $0 | $52,918 | |||
| Mary C Denisienko | |||||||||
| VP Human Resources | 40.00 | Yes (X) | $263,658 | $0 | $31,939 | ||||
| Rosann S Demask | |||||||||
| VP Nursing | 40.00 | Yes (X) | $248,948 | $0 | $42,204 | ||||
| Edgardo Tenreiro | |||||||||
| CEO (Past) | 40.00 | Yes (X) | $710,717 | $0 | $12,549 | ||||
| Gary Zmrhal | |||||||||
| Interim CFO | 40.00 | Yes (X) | $237,069 | $0 | $0 | ||||
| Margaret J Carroll | |||||||||
| Chief Information Officer | 40.00 | $263,794 | $0 | $31,506 | Yes (X) | ||||
| Muhamad Krad | |||||||||
| Staff Physician | 40.00 | $348,686 | $0 | $16,762 | Yes (X) | ||||
| Arthur M Schroeder | |||||||||
| Staff Physician | 40.00 | $319,437 | $0 | $49,540 | Yes (X) | ||||
| Abdul Rahmad Safadi | |||||||||
| Staff Physician | 40.00 | $297,311 | $0 | $16,795 | Yes (X) | ||||
| Mark D Diamond | |||||||||
| Staff Physician | 40.00 | $271,963 | $0 | $36,637 | Yes (X) | ||||
| Haris Aleem | |||||||||
| Staff Physician | 40.00 | $269,324 | $0 | $25,326 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,921,789 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $267,547 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $460,162 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 126 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Pepper Construction Company | |||||
| 18505 W Creek Drive | Tinley Park | IL | 60477 | Construction Services | $50,818,573 |
| Matthei & Colin Associates | |||||
| 332 S Michigan Avenue | Chicago | IL | 60604 | Architectural Services | $1,314,295 |
| Mayo Collaborative Services | |||||
| 200 1st St | SW Rochester | MN | 55905 | Laboratory Services | $1,206,776 |
| Michuda Cconstruction Inc | |||||
| 11204 S Western Avenue | Chicago | IL | 60643 | Construction Services | $1,058,375 |
| Palos Anesthesia & Assoc | |||||
| 12251 S 80th Ave | Palos Heights | IL | 60463 | Anesthesia Services | $1,029,171 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $162,575 | FundraisingAmt |
| All Other Contributions | $588,348 | AllOtherContributionsAmt |
| Total Contributions | $750,923 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 621110 | $343,946,121 | $343,869,208 | $76,913 |
| Provider Tax Revenue | 900099 | $10,257,673 | $10,257,673 | |
| MRI Joint Venture | 900099 | -$164,843 | -$164,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $354,038,951 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,987,304 | TotalRevenueColumnAmt |
| Exclusion | $7,987,304 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,212,599 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $776,694 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $435,905 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $435,905 | TotalRevenueColumnAmt |
| Exclusion | $435,905 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $848,034,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $825,990,052 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,043,948 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,043,948 | TotalRevenueColumnAmt |
| Exclusion | $22,043,948 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $51,875 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $162,575 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $152,173 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$100,298 | TotalRevenueColumnAmt |
| Exclusion | -$100,298 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Intercompany Revenue | 900099 | $2,674,269 | $2,674,269 | |
| Meaningful Use | 900099 | $2,569,852 | $2,569,852 | |
| Cafeteria Revenue | 900099 | $954,958 | $954,958 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,479,017 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,479,017 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,678,096 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $392,834,829 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $360,685,176 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $76,913 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,321,817 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,739,463 | TotalAmt |
| Management And General | $3,739,463 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,919,472 | TotalAmt |
| Program Services | $125,305,273 | ProgramServicesAmt |
| Management And General | $25,614,199 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,677,483 | TotalAmt |
| Program Services | $7,030,531 | ProgramServicesAmt |
| Management And General | $1,646,952 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,447,044 | TotalAmt |
| Program Services | $18,996,887 | ProgramServicesAmt |
| Management And General | $4,450,157 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,673,809 | TotalAmt |
| Program Services | $8,647,962 | ProgramServicesAmt |
| Management And General | $2,025,847 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,517,766 | TotalAmt |
| Management And General | $2,517,766 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,519,870 | TotalAmt |
| Management And General | $1,519,870 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,650 | TotalAmt |
| Management And General | $203,650 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,393,370 | TotalAmt |
| Management And General | $1,393,370 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,379,133 | TotalAmt |
| Program Services | $5,632,381 | ProgramServicesAmt |
| Management And General | $5,746,752 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $812,841 | TotalAmt |
| Management And General | $812,841 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,731,067 | TotalAmt |
| Program Services | $2,061,799 | ProgramServicesAmt |
| Management And General | $1,669,268 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,018,782 | TotalAmt |
| Program Services | $1,113,407 | ProgramServicesAmt |
| Management And General | $3,905,375 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,274 | TotalAmt |
| Program Services | $400,057 | ProgramServicesAmt |
| Management And General | $10,217 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,031 | TotalAmt |
| Program Services | $139,162 | ProgramServicesAmt |
| Management And General | $60,869 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,765,517 | TotalAmt |
| Program Services | $13,765,517 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,219,918 | TotalAmt |
| Program Services | $17,833,992 | ProgramServicesAmt |
| Management And General | $4,385,926 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,467,430 | TotalAmt |
| Program Services | $701,596 | ProgramServicesAmt |
| Management And General | $765,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $54,533,770 | $54,533,770 |
| Bad Debt Expense | $13,249,377 | $13,249,377 |
| IL Tax Assessment | $11,300,343 | $11,300,343 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,490,358 | TotalAmt |
| Program Services | $7,164,539 | ProgramServicesAmt |
| Management And General | $5,325,819 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,670,768 | TotalAmt |
| Program Services | $287,876,593 | ProgramServicesAmt |
| Management And General | $65,794,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,872,740 | BOYAmt |
| EOY | $10,626,072 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,579,286 | BOYAmt |
| EOY | $43,591,141 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,625,430 | BOYAmt |
| EOY | $6,324,715 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,832,782 | BOYAmt |
| EOY | $2,335,433 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,809,005 | BOYAmt |
| EOY | $2,528,664 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $658,227,419 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $217,853,790 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,225,802 | BOYAmt |
| EOY | $440,373,629 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,308,326 | BOYAmt |
| EOY | $359,983,334 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,292,813 | BOYAmt |
| EOY | $10,023,484 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830,546,184 | BOYAmt |
| EOY | $875,786,472 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,507,415 | BOYAmt |
| EOY | $143,465,772 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,630,000 | BOYAmt |
| EOY | $367,670,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,221,030 | BOYAmt |
| EOY | $6,445,274 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,358,445 | BOYAmt |
| EOY | $517,581,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,068,034 | BOYAmt |
| EOY | $358,092,770 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,705 | BOYAmt |
| EOY | $112,656 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,187,739 | BOYAmt |
| EOY | $358,205,426 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830,546,184 | BOYAmt |
| EOY | $875,786,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $39,164,061 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$12,361,275 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $8,214,901 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,313,923 | OtherCostOrOtherBasisAmt |
| Book Value | $14,313,923 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $396,831,743 | OtherCostOrOtherBasisAmt |
| Depreciation | $126,973,833 | DepreciationAmt |
| Book Value | $269,857,910 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $160,921,496 | OtherCostOrOtherBasisAmt |
| Depreciation | $90,879,957 | DepreciationAmt |
| Book Value | $70,041,539 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $86,160,257 | OtherCostOrOtherBasisAmt |
| Book Value | $86,160,257 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $440,373,629 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Obligation for Collateral Received for Securities Loaned | $64,600 |
| Tax Exempt Bond Liability Premium | $6,380,674 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,445,274 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $365,956,876 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$12,361,275 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $928,867 | OtherRevenueAmt |
| Revenue Not Reported | -$11,432,408 | RevenueNotReportedAmt |
| Revenue Subtotal | $377,389,284 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,393,370 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $14,052,175 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $15,445,545 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $392,834,829 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $339,956,888 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $928,867 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $928,867 | ExpensesNotReportedAmt |
| Expenses Subtotal | $339,028,021 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,393,370 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $13,249,377 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,642,747 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $353,670,768 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Hospital has received a determination letter from the Internal Revenue Service stating that it is exempt from the payment of income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, income taxes are not provided for in the accompanying financial statements. The Hospital adopted the FASB-issued guidance for accounting for uncertainty in income taxes on January 1, 2007. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to hospitals include such matters as the following: the tax exempt status of the entity; the continued tax exempt status of bonds issued by the obligated group; the nature, characterization and taxability of joint venture income, and various positions relative to potential sources of unrelated business taxable income (UBTI). UBTI is reported on Form 990-T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying balance sheet along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Upon the adoption of the FASB issued guidance at January 1, 2007, and since that date through December 31, 2013, there were no unrecognized tax benefits identified and recorded as a liability. |
| Part XI, Line 2d - Other Adjustments: | Rental Expense 776,694. Fundraising Expenses 152,173. |
| Part XI, Line 4b - Other Adjustments: | Unrestricted Contributions 802,798. Bad Debt Expense 13,249,377. |
| Part XII, Line 2d - Other Adjustments: | Rental Expense 776,694. Fundraising Expenses 152,173. |
| Part XII, Line 4b - Other Adjustments: | Bad Debt Expense 13,249,377. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Dinner/Celebration | Event1Nm |
| Gross Receipts Event1 | $214,450 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $162,575 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $51,875 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $128,666 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $23,507 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $214,450 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $162,575 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $51,875 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $128,666 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,507 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $152,173 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$100,298 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 1000.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,294,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,294,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01500 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,961,935 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,535,979 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,425,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,256,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,535,979 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,720,206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $851,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $100,403 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $751,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,425,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,659,223 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,766,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02200 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $177,740 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $177,740 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,455,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,759,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,695,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02460 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,711,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,295,605 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,415,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07760 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,249,487 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $101,256,985 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $123,871,994 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$22,615,009 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 South 80th Avenue | AddressLine1Txt |
| City | Palos Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60463 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALOS COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.paloscommunityhospital.org/CHNA | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.palos.healthforecast.net/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 1000.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | Yes (1) | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PALOS COMMUNITY HOSPITAL | Part V, Section B, Line 5: As part of the community health needs assessment, two focus groups were held with key informants from across Cook County. A list of recommended participants for the focus groups was provided by the sponsors. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Focus group participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. |
| PALOS COMMUNITY HOSPITAL | Part V, Section B, Line 6a: Metropolitan Chicago Healthcare Council; Edward Hospital; Swedish Covenant Hospital; Northwest Community Hospital; Ingalls Memorial Hospital; Little Company of Mary Hospital & Health Care Centers; St. Anthony Hospital; St. Bernard Hospital and Health Care Centers; Central DuPage Hospital; University of Illinois Medical Center at Chicago; Elmhurst Memorial Healthcare; Franciscan St. James Health - Chicago Heights; Thorek Memorial Hospital; Palos Community Hospital; Rush University Medical Center; Northwestern Memorial Hospital; Lake Forest Hospital; Adventist Hinsdale Hospital; University of Chicago Medical Center; Mercy Hospital and Medical Center; Adventist GlenOaks Hospital; Jackson Park Hospital and Medical Center; Adventist LaGrange Memorial Hospital; La Rabida Children's Hospital; Norwegian American Hospital; Rush Oak Park; Vanguard Health Chicago (including: West Suburban Medical Center; Westlake Hospital; Weiss Hospital and MacNeal Hospital); Resurrection Health Care (including: Holy Family Medical Center; Our Lady of the Resurrection Medical Center; Resurrection Medical Center; Saint Francis Hospital; Saint Joseph Hospital and Saints Mary & Elizabeth Medical Center); Alexian Brothers Hospital Network (including: Alexian Brothers Behavioral Health Hospital; Alexian Brothers Medical Center; Alexian Brothers Rehabilitation Hospital and St. Alexius Medical Center). |
| PALOS COMMUNITY HOSPITAL | Part V, Section B, Line 11: No, in consideration of the top health priorities identified through the CHNA process and taking into account hospital resources and overall alignment with the hospital's mission, goals and strategic priorities - Palos focused on developing strategies and/or supporting strategies and initiatives to improve:- Access to health services- Nutrition, Physical Activity and Weight Status- Mental Health & Mental DisordersIn acknowledging the wide range of health priority health issues that emerged from the CHNA process, Palos Community Hospital will focus on those within its immediate ability to influence. Some of the priority issues such as injury and violence prevention and those related to maternal and child health fall more purview of the county health department and other health organizations. Others such as kidney and respiratory diseases may be considered in future needs assessment implementations. |
| PALOS COMMUNITY HOSPITAL | Part V, Section B, Line 22d: Palos Community Hospital takes its commitment to serving the uninsured and underinsured members of its community very seriously and as a result has implemented a financial assistance policy that goes above and beyond the requirements of Illinois Public Act 095-0965 "Hospital Uninsured Patient Discount Act". This State Law was enacted with an effective date of April 1, 2009 and required that hospitals offer uninsured patients who met the minimum financial requirements (i.e. earnings less than 600% of the FPG and certain asset limitations) a rate equal to 135% of the hospital's most recently filed Medicare cost to charge ratio. PCH expanded the reach of this policy by extending the minimum financial requirements to 1,000% of the FPG to help more of its community qualify for a financial benefit and to give families that earn a lower percentage of the FPG deeper discounts. This policy was also extended to all clinically-necessary procedures and was not limited to emergency care only. Using the FPG, PCH created a set of discounts for patients without insurance that ranged from free care for those who earned less than 200% of the FPG to a 40% discount off of regularly billed charges for any uninsured patient who earned less than 1,000% of the FPG. PCH also created a policy to help those who are underinsured. Similar to its uninsured policy, the underinsured policy creates a set of discounts that can be applied to co-payments and deductibles owed for those patients that earn less than 300% of the FPG. |
| PALOS COMMUNITY HOSPITAL | Part V, Section B, Line 23: Please see explanation in Part V, Section B, Line 22d above. |
| Part V, Section B, line 3 | The sample design used for this effort consisted of a random sample of 216 individuals age 18 and older in the Palos Community Hospital Service Area. All administration of the surveys, data collection and data analysis was conducted by Professional Research Consultants, Inc. (PRC). |
| Part V, Section B, line 16b | http://www.paloscommunityhospital.org/app/files/public/1409/financial-assistance-cover-letter-and-application-2014.pdf |
| Part V, Section B, line 16c | http://www.paloscommunityhospital.org/patients-visitors/billing/financial-assistance/ |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| PALOS COMMUNITY HOSPITAL Part V, Section B, line 16b website: | See Part V |
| PALOS COMMUNITY HOSPITAL Part V, Section B, line 16c website: | See Part V |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Palos Primary Care Center | ||||
| 15300 West Avenue Suite 122 | Orland Park | IL | 60462 | Primary Care Center |
| Palos Intermediate Care Center | ||||
| 7340 W College Drive | Palos Heights | IL | 60463 | Intermediate Care Center |
| Palos Home Health Care | ||||
| 15295 E 127th St | Lemont | IL | 60439 | Home Health Care |
| Palos Diagnostic & Women's Center | ||||
| 17333 S LaGrange Rd | Tinley Park | IL | 60477 | Diagnostic Testing and Women's Health |
| Palos Sleep Disorders Center | ||||
| 11900 Southwest Highway | Palos Park | IL | 60464 | Sleep Studies |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Palos Community Hospital charity care is based on a sliding scale of the Federal Poverty Guidelines. PCH set the sliding scale to allow charity in access of the regional minimum amount set forth by Illinois in the Hospital Uninsured Patient Discount Act by extending discounted care up to 1,000% of the FPG vs. the minimum 600% as determined by law.All self-pay patients are provided information regarding our charity care program at the time of registration; self-pay patients are requested to complete a one-page application. This enables the Hospital to expedite the charity care approval process. For balances after insurance, patients are made aware of our charity care program via the statement they receive. Additional information is available on the Hospital's website.The Financial Counselors see approximately 7 patients daily (1680 per year) for assistance with screening for Medicaid applications, Financial Assistance, Payment plans, estimated pricing for services, account review/inquires/complaint, Medicare Liability, etc. The Financial Counselors assist patients with current, past and future visits. The Financial Counselors and Self Pay Collectors processed 3253 financial assistance applications in 2014. There were 1963 charity adjustments, 474 presumptive eligibility charity adjustments, 318 Medicare Bad Debt charity adjustments and 498 charity denials. There has been a decrease in the number of charity applications due to the Affordable Health Care Act. With the expansion of the Medicaid programs we have a significant increase in the number of patients that are already covered and/or qualify for Medicaid or Medicaid Replacement Plans. |
| Part I, Line 7: | The best available data was used to calculate the cost amounts reported in Item 7. This includes the overall hospital cost to charge ratio as well as direct and indirect costs for certain specific departments of the hospital.Part I, Line 7 Col(f): The bad debt expense of $13,249,487 was included on Form 990, Part IX, Line 25, but subtracted for purposes of calculating the percentage in this column. |
| Part II, Community Building Activities: | The health of the communities that PCH serves is a very important piece of PCH's mission statement. To date, our focus has been on providing the care needed within our community at high level of quality. As such we have implemented and/or maintained programs that we feel help to improve the wellness of the people we serve. PCH believes that given limited resources and time this serves our community better than community building activities as defined in this schedule. |
| Part III, Line 4: | PCH calculates Charity Care cost using the hospital wide cost to charge ratio and applying that ratio to the charges written off to charity care per the hospital policy. No other Bad Debt amounts are included in the community benefit report.The Hospital provides care to all patients regardless of their ability to pay. Uncompensated care and community service provided by the Hospital are excluded from net patient service revenue. |
| Part III, Line 8: | Medicare costs are calculated using the hospital wide cost to charge ratio. PCH does include the Medicare shortfall in its Illinois state community benefits report as PCH continues to treat its Medicare community despite the fact that its costs for these patients exceed reimbursement. |
| Part III, Line 9b: | It is the policy of PCH not to pursue collection practices against patients known to qualify under the Charity Care policy. In some cases, this determination is not immediately known and collection processes are followed, but once it has been determined that a patient may be eligible for charity care, these practices are ceased. |
| Part III, Line 2: | Bad debt expense is estimated by totaling the amounts sent to and written off by collection agencies plus an estimate of Accounts Receivable aged by financial class all multiplied by the appropriate cost to charge ratio. |
| Part III, Line 3: | Information to determine this amount is not available. |
| Part VI, Line 2: | PCH consistently seeks to serve the needs of its community in a variety of ways. In order to better identify these needs, PCH teamed with the Metropolitan Chicago Healthcare Council (MCHC) to prepare a Community Health Assessment for the primary counties that PCH serves. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors and needs of residents in Cook, DuPage and Lake counties, Illinois. This Community Health Assessment will serve as a tool toward reaching three basic goals:- To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life.- To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health.- To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. |
| Part VI, Line 3: | PCH utilizes several techniques to communicate a patient's eligibility for assistance under various programs. At the time of registration, each patient is referred to a copy of PCH's Charity Care Policy and asked to fill out a simple registration form that may help them qualify for Charity Care. This policy clearly lays out the eligibility requirements and what the patient must do to qualify. Also at registration, any patient without insurance is advised as to what other programs they may qualify for and are given assistance in applying as necessary. PCH employs a company that helps patients apply for Medicaid coverage and SSI disability. Upon discharge, each patient receives a summary bill that includes information related to eligibility for the Charity Care Policy. All inpatients without insurance are visited by a financial counselor who helps direct the patient and their families to the appropriate level of assistance. Signage regarding the charity care policy is posted at all registration areas and in the Emergency department. Finally, PCH displays the plain language summary of the FAP on their website along with the FAP application. |
| Part VI, Line 4: | Palos Community Hospital serves growing communities that expect to experience continued growth in the coming years. Communities within the hospital's service area have seen overall growth in population of approximately 7.6% from 2000 to 2014 with a current estimated population of 622,571. Continued growth is anticipated. From 2014 to 2019, the population is expected to grow by 1.3%. Zip codes within the Palos Community Hospital service area include:60462, 60467, 60463, 60464, 60465, 60482, 60445, 60452, 60477, 60487, 60453, 60455, 60457, 60458, 60459, 60415, 60805, 60655, 60803, 60439, 60441, 60491, 60423, 60448, 60451Of those living within the service area of Palos Community Hospital:50.91% are female87.62% are white79% are English-speakingThe median age is 40.1 years30% are high school graduates23% have had some college, and29.5% have earned a bachelor's degree or beyond.14.00% of the residents would be considered uninsured or Medicaid eligible.There are no other hospitals located in PCH's primary service area. |
| Part VI, Line 5: | Palos Community Hospital is an acute care facility with 362 operating beds, 14 operating rooms, nearly 600 affiliated physicians and approximately 3,100 employees. Within the service area, PCH serves as a resource for health education and wellness initiatives for residents. PCH continues to monitor the health care needs of its service area to insure the need for the services it offers and evaluate the opportunity to develop new programs and services as necessary. PCH works with and in support of other not-for-profit, educational, governmental, civic or community organizations, as appropriate, to promote health and wellness through awareness, education, research, access or support. Demonstrating PCH's commitment to disease prevention and wellness, more than 150 community education programs were held with approximately 3,000 participants during the year. These include programs such as Survive and Thrive, an event geared toward cancer survivors; Fall Prevention Fair, targeted at seniors to help them avoid falling; and The Ultimate Food Fight, informing attendees on how diet can prevent cancer. Additionally, PCH serves as a resource for health information to community members. PCH participated in health-focused events in Palos Heights, Orland Park and Homer Glen providing health screenings focused on either heart or bone health. To support local non-profit organizations, PCH's Speakers Bureau provided nearly 20 speaking presentations throughout 2014. Topics covered during these presentations include heart health, stress management and healthy eating. In 2014, PCH launched the employee volunteer program to support local non-profit organizations. The employee volunteer program provides opportunities for staff members to contribute their time or donate goods to support community organizations helping area residents in need. Employee volunteers helped at a number of events such as the American Cancer Association's Making Strides against Breast Cancer Walk. Food, coat and pajama drives were held to support Together We Cope, a local organization serving families in 27 communities of Chicago's south suburbs to help prevent homelessness.To educate area residents about heart disease as well as to support the American Heart Association with their outreach efforts, PCH participates in the AHA Heart Walk as well as 200 employees and their loved ones. The event takes place within the PCH service area.Each year, a few community cancer screening programs, as well as the direction of the Cancer Program at PCH, are designed in response to our community's needs based on guidance provided by the PCH Oncology Committee. This group, consisting of hospital leaders, caregivers and physicians, provides direction on how to better meet the needs of cancer patients in our community. In 2014, PCH hosted a skin cancer screening event and offered free colorectal cancer screening kits. The low-dose CT Lung Cancer Screening was launched in 2014. The PCH cancer program received the 2014 Outstanding Achievement Award from the Commission on Cancer (CoC) of the American College of Surgeons. PCH is one of a select group of five hospitals in Illinois and only 75 hospitals in the United States with accredited cancer programs to receive the prestigious award.Palos Community Hospital is governed by the Board of Directors, comprised of community leaders from the hospital's service area. Further demonstrating the hospital's connection to the community is the representation from community members to help shape our programs to better meet the needs of our residents. An example of this is the Diabetes Advisory Council. This group, consisting of community members as well as hospital leaders, provides input on how to better shape our diabetes program to meet the needs of our residents. In 2014, PCH hosted its annual Diabetes Fair to help individuals with diabetes and their loved ones learn how to manage the condition. The PCH Volunteer program provides more than 100 high school student with the opportunity to fulfill community service requirements annually. Additionally, hundreds of adult volunteers donate their time to PCH while having the opportunity to make new friends and experience the feeling of contributing to the community. PCH assists the homebound and elderly in the community with two special programs, Home Delivered Meals and Lifeline. Home Delivered Meals are provided to people who are homebound, live alone and are unable to prepare their own meals. The program offers recipients two meals a day which are planned by hospital dietitians, prepared in the hospital kitchen and delivered by PCH volunteers five days a week. The meals are available at a discounted rate and are subsidized by the hospital. The Home Delivered Meals program has an average of 45 recipients living in Palos Heights, Palos Hills, Palos Park, Orland Park and Orland Hills. To further support homebound and elderly area residents, PCH offers Lifeline, a medical alert system. The device, installed in participants' homes, can help detect falls and provide a simplified means to signal for assistance from a loved one or emergency services if needed. PCH can support up to 170 participants at a time. PCH serves as a Senior Health Insurance Program (SHIP) site. This is a free statewide health insurance counseling service for Medicare beneficiaries and their caregivers. The hospital provides office space and other resources to support volunteers offering community members information and resources regarding applying for Medicare and Medicare coverage.PCH provides financial assistance to people with limited means. Uninsured or underinsured individuals may be eligible for discounts on the cost of care. Financial counselors are available to help patients determine terms befitting of the financial situation, as well as provide patients with information regarding local, state and federal assistance programs.For the purpose of disease prevention, PCH provides the influenza vaccination to all employees, volunteers and patients during flu season. To help heart failure and COPD inpatients transition from the hospital to home, Palos Community Hospital offers the Heart Failure/COPD Wellness Clinic. The hospital applies surplus funds to the improvement of patient care. |
| Part VI, Line 6: | Palos Community Hospital is not part of an affiliated health care system. |
| Part VI, Line 7, Reports Filed With States | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Terrence Moisan | ||||||||||||||
| Director/CEO | $600,992 | $0 | $0 | $0 | $119,000 | $0 | $0 | $0 | $0 | $0 | $719,992 | $0 | $0 | $0 |
| Dr Mark Sinibaldi | ||||||||||||||
| Director/Physician | $50,000 | $267,547 | $0 | $0 | $0 | $0 | $0 | $15,831 | $0 | $14,222 | $50,000 | $297,600 | $0 | $0 |
| Charles E Reiter III | ||||||||||||||
| Contracted General Counsel/Assistant | $385,490 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $385,490 | $0 | $0 | $0 |
| David B Manchester | ||||||||||||||
| VP Professional Services | $396,792 | $0 | $0 | $0 | $15,696 | $0 | $19,500 | $0 | $22,438 | $0 | $454,426 | $0 | $0 | $0 |
| Hugh A Rose | ||||||||||||||
| VP Finance/CFO | $213,511 | $0 | $0 | $0 | $186,856 | $0 | $16,984 | $0 | $8,388 | $0 | $425,739 | $0 | $0 | $0 |
| Randall J Oles | ||||||||||||||
| VP Support Services | $306,794 | $0 | $0 | $0 | $17,004 | $0 | $19,265 | $0 | $27,358 | $0 | $370,421 | $0 | $0 | $0 |
| Timothy J Brosnan | ||||||||||||||
| VP Planning/Community Relations | $323,931 | $0 | $0 | $0 | $17,004 | $0 | $19,259 | $0 | $33,659 | $0 | $393,853 | $0 | $0 | $0 |
| Mary C Denisienko | ||||||||||||||
| VP Human Resources | $246,158 | $0 | $0 | $0 | $17,500 | $0 | $19,397 | $0 | $12,542 | $0 | $295,597 | $0 | $0 | $0 |
| Rosann S Demask | ||||||||||||||
| VP Nursing | $231,448 | $0 | $0 | $0 | $17,500 | $0 | $18,751 | $0 | $23,453 | $0 | $291,152 | $0 | $0 | $0 |
| Edgardo Tenreiro | ||||||||||||||
| CEO (Past) | $107,217 | $0 | $0 | $0 | $603,500 | $0 | $8,225 | $0 | $4,324 | $0 | $723,266 | $0 | $0 | $0 |
| Gary Zmrhal | ||||||||||||||
| Interim CFO | $237,069 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $237,069 | $0 | $0 | $0 |
| Margaret J Carroll | ||||||||||||||
| Chief Information Officer | $246,790 | $0 | $0 | $0 | $17,004 | $0 | $19,500 | $0 | $12,006 | $0 | $295,300 | $0 | $0 | $0 |
| Muhamad Krad | ||||||||||||||
| Staff Physician | $348,686 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,762 | $0 | $365,448 | $0 | $0 | $0 |
| Arthur M Schroeder | ||||||||||||||
| Staff Physician | $319,437 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $30,040 | $0 | $368,977 | $0 | $0 | $0 |
| Abdul Rahmad Safadi | ||||||||||||||
| Staff Physician | $297,311 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,795 | $0 | $314,106 | $0 | $0 | $0 |
| Mark D Diamond | ||||||||||||||
| Staff Physician | $271,963 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $17,137 | $0 | $308,600 | $0 | $0 | $0 |
| Haris Aleem | ||||||||||||||
| Staff Physician | $269,324 | $0 | $0 | $0 | $0 | $0 | $8,253 | $0 | $17,073 | $0 | $294,650 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Annually, Human Resources gathers market data on executive positions from a variety of published survey sources such as Metropolitan Healthcare Council (MCHC), Mercer, Watson Wyatt, etc. The market data is analyzed for organizations with similar size and characteristics (FTEs, revenue, beds, region, non-for profit, stand alone institutions, etc.) The mean, median and, if available, the 90th percentile rates are provided to the President/CEO for consideration and reviewed with the Board of Directors. Discussion and process are contemporaneously documented in the minutes. |
| Part I, Line 4a | Mr. Rose received a severance package from Palos Community Hospital that was within the terms and conditions of the agreement. The severance was based on length of service and responsibilities. Additional terms and conditions of the confidential severance agreement will be provided to the IRS upon request. Mr. Tenreiro received payment relative to an employment agreement and certain contested matters. Amounts paid during the current period are properly reflected on the employees W-2 and disclosed in column B(iii) on Schedule J, Part II. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Ill Fin AuthorityPalos Comm Hospital | ||||||||
| A | 861091967 | 45200B3U0 | 2007-05-17 | $124,814,955 | Fund construction of parking garage and power plant | 0 | Yes (1) | 0 |
| Ill Fin AuthorityPalos Comm Hospital | ||||||||
| B | 861091967 | 45200F2Z1 | 2010-05-06 | $151,146,301 | Fund construction of new bed tower and modernization of existing bed tower | 0 | Yes (1) | 0 |
| Ill Fin AuthorityPalos Comm Hospital | ||||||||
| C | 861091967 | 2010-04-12 | $100,000,000 | Fund construction of new bed tower and modernization of existing bed tower | 0 | Yes (1) | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $124,814,955 | $2,675,871 | $122,139,084 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $157,566,708 | $1,950,637 | $155,616,071 | 2012 | 0 | 0 | Yes (1) | Yes (1) |
| C | $100,000,000 | $500,000 | $99,500,000 | 2013 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Anesthesia Associates | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Dr. Michael Sobczak, Director is the President of Palos Anesthesia Assoc. | RelationshipDescriptionTxt |
| Transaction | $1,029,171 | TransactionAmt |
| Transaction | Palos Anesthesia Associates provides anesthesia services for Palos patients | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. George Corporation is the sole Corporate Member. |
| Form 990, Part VI, Section A, line 7a | St. George Corporation holds the power to appoint members of the governing body. |
| Form 990, Part VI, Section A, line 7b | St. George Corporation can exercise action on the following matters: (a) removal of directors, with or without cause; (b) all amendments to these bylaws or the Corporation's Articles of Incorporation; (c) The sale or transfer of substantially all of the property of the corporation, except for leases in excess of one year; (d) all long term borrowing in excess of one year; (e) merger or consolidation by the Corporation with any other institution, hospital, corporation or legal entity; (f) formal affiliation with a medical school or research facility; (g) acceptance of any gift, bequest or legacy that imposes a permanent or continuing obligation on the Corporation for a period of more than one year; (h) decisions to authorize voluntary dissolution of the Corporation or to revoke proceedings therefor; (i) adoption of a plan for the distribution of the assets of the Corporation; and (j) any other matters required by law to be submitted to the Corporate Member or which the Board determines by resolution to submit. |
| Form 990, Part VI, Section B, line 11 | Senior management reviewed the Form 990 that was prepared by our tax advisors with the information we provided to them. Once reviewed by senior management it was made available to our Board. |
| Form 990, Part VI, Section B, line 12c | On an annual basis directors, key personnel (VP, department heads (budget administrators)), and all purchasing staff must complete a Conflict of Interest Form disclosing any conflict of interest that may exist or be perceived to exist between themselves and/or family members and vendors, contractors and others PCH has a contract/transaction agreement. These annual disclosure statements are reviewed by the VP of Human Resources. Any issue identified as part of this annual disclosure is referred to the President of PCH for disposition. The full Board reviewed the disclosure statements of each Director that identified an interest. Persons completing the conflict of interest form know to disclose any potential conflicts on an ongoing basis. An individual with a conflict of interest would be excluded from any discussion, vote, or decision that involved the conflict or decision. |
| Form 990, Part VI, Section B, line 15 | Annually, Human Resources gathers market data on executive positions from a variety of published survey sources such as Metropolitan Healthcare Council (MCHC), Mercer, Watson Wyatt, etc. The market data is analyzed for organizations with similar size and characteristics (FTEs, revenue, beds, region, non-for profit, stand alone institutions, etc.) The mean, median and, if available, the 90th percentile rates are provided to the President/CEO for consideration and reviewed with the Board of Directors. Discussion and process are contemporaneously documented in the minutes. |
| Form 990, Part VI, Section C, line 19 | All policies, governing documents and financial statements required to be available to the public are available upon request. Requests can be made from the Financial Department of Palos Community Hospital. Documents are available for the same period of disclosure as set forth in IRC Section 6104(d). |
| Form 990, Part XI, line 9: | Net Asset Transfer From Affiliate 8,222,000. Animal Therapy Fund -7,099. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St George Corporation | |||||||||||
| 12251 S 80th Avenue | Palos Heights | IL | 60463 | 364383840 | Health Care Provider | IL | 501(c)(3) | 11 a, Type I | N/A | 0 | |
| St George Wellness Center | |||||||||||
| 15430 West Avenue | Orland Park | IL | 60462 | 364383845 | Fitness Center | IL | 501(c)(3) | 9 | 0 | St George Corporation | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |